National Provider Identifier Database

UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE
Student Health


Contact Information

UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE
1000 E. UNIVERSITY AVE
DEPT. 3068
LARAMIE, WY82071
Phone: 307-766-2130
Fax: 307-766-2711
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE

NPI Number 1922112374
Legal business name
LBN
UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE
Authorized official MARY BENDER - (M.D./DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/19/2006
Last updated 02/12/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WY Medicaid: 107362102
  • WY Medicaid: 107362103

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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